Septostomy: Difference between revisions

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An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.
An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.


===Equipment:===
== Equipment: Daniels ==
====Open:====
* Indiflator
*Amplatz Super Stiff 1cm
* Naked 3 port manifold for LA pressure
*.032 x 260J
* Sheath , one French size larger then minimum balloon size  
*5fr. MPA2
* Balloon, size determined via ECHO
*8.5fr. SL1
*Manifold to measure LA pressure
*Sheath based on balloon size (See chart)
*Presto indeflator
*0-Prolene


===* NEW - Baylis Transseptal===
* VersaCross system
*Grounding pad
===STANDBY!===
*SL1 TransSeptal sheath
*Large curve Baylis needle
*Baylis cable


====Standby:====
*.032 X 260 “J” wire
*Amplatz Extra Stiff
*Amplatz SuperStiff 1cm Tip 260cm


===Baylis Setup:===
*5F MPA2
====Open:====
 
== Equipment: Spies ==
* Indiflator
* Naked 3 port manifold for LA pressure
===* NEW - Baylis Transseptal===
* VersaCross system
*Grounding pad
===STANDBY!===
*SL1 TransSeptal sheath
*Large curve Baylis needle
*Baylis cable
 
*.032 X 260 “J” wire
*SuperStiff 1cm Tip 260cm
*5F MPA2
===Procedure requires Baylis===
*Baylis generator
*Baylis generator
*Baylis Large curve needle
*Baylis cable
*Grounding Pad
*Grounding Pad


Revision as of 03:30, 9 March 2024

Z-Med Inflation Chart
Other Balloons Inflation Chart

An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.

Equipment: Daniels

  • Indiflator
  • Naked 3 port manifold for LA pressure
  • Sheath , one French size larger then minimum balloon size
  • Balloon, size determined via ECHO

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • Amplatz SuperStiff 1cm Tip 260cm
  • 5F MPA2

Equipment: Spies

  • Indiflator
  • Naked 3 port manifold for LA pressure

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • SuperStiff 1cm Tip 260cm
  • 5F MPA2

Procedure requires Baylis

  • Baylis generator
  • Grounding Pad

Balloon size determined by MD.

  • Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
  • Have a 22 Tyshak nucleus on standby for Spies and Daniels


Approved: MD initials MM/YY

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